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A 90-Minute Virtual Physician Consultation
"Why Do I Feel Like This?" Visit
A longer-format physician consultation for women experiencing complex, overlapping symptoms that have not fit neatly into a single specialty.
Fatigue, brain fog, weight changes, sleep disruption, mood shifts, hormonal changes, inflammation, burnout, and the sense that something is off even when previous workups have come back unremarkable.
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Who This Visit Is For:
For women whose bodies no longer feel predictable.
This visit was built for women carrying several overlapping symptoms at once. Symptoms that may not have shown up clearly in any single appointment, that have been spread across multiple specialists, or that have been explained away as stress, age, weight, or anxiety.
Many of the women who request this visit describe feeling dismissed, fragmented across the healthcare system, or told that their numbers look fine while their daily experience says otherwise. The visit is designed to look at the whole picture in one sitting, with one physician.
Common reasons for requesting this visit:
Fatigue that does not lift. Brain fog and difficulty concentrating. Sleep disruption. Weight and metabolic changes. Mood shifts, anxiety, or burnout. Hormonal changes through perimenopause or menopause. Inflammation, flushing, skin or gut symptoms. Sensitivity, overwhelm, or a feeling of being wired and exhausted at the same time. Complex symptoms already worked up by other physicians without a clear explanation.
The Approach
Why this visit is structured differently.
Most appointments are fifteen to twenty minutes. That is the structure of the system, not the fault of the physicians inside it. In fifteen minutes, the flushing gets sent to dermatology, the fatigue to one workup, the bloating to another, the hormonal changes to a different specialist, and there is rarely time to ask whether these symptoms started showing up in the same body, in the same year, in the same person.
This consultation is ninety minutes. The history is taken in full. Symptoms are looked at across systems instead of split between them. Hormonal shifts are considered alongside immune signaling, autonomic regulation, sleep, metabolic markers, stress physiology, and the context of your life.
The goal is not to assign one tidy label. It is to look at the whole picture honestly, name what is established, name what is still being understood, and build a practical plan from there.
*If you have already been worked up by multiple specialists and still do not have a clear picture, this is the kind of visit that was built for that situation.
1.
Ninety-minute physician consultation
A full appointment with Dr. Misra conducted via secure Google Meet. No rushed intake, no fifteen-minute clock.
2.
Comprehensive history review
A thorough review of your medical history, prior workups, current symptoms across systems, sleep, hormonal timeline, medications, and any records you upload before the visit.
3.
Physician assessment
A clinical assessment that traces symptoms across systems, with honest discussion of what is established, what is emerging, and what remains uncertain.
4.
Written summary and plan
A written summary delivered after the visit, including assessment, suggested next steps, possible lab recommendations, treatment considerations, and follow-up options.
*Labs, medications, imaging, and follow-up visits are not included and are billed separately.
How It Works:
The request and appointment process:
1.
Submit an appointment request
Women begin by submitting a request through the Contact Us page. Please include a brief summary of what is going on, your location, and any context Dr. Misra should review before evaluating your case.
2.
Upload prior labs, records, and notes
Patients are encouraged to upload prior labs, imaging, records, testing, symptom timelines, or clinical notes if available. Existing workups are reviewed in context to help avoid unnecessary repetition.
3.
Dr. Misra reviews your request personally
Each request is reviewed individually by Dr. Misra. Because availability is limited and visits are intentionally high-touch, not every request results in an appointment offer.
4.
Ninety-minute visit via secure Google Meet
Visits are conducted virtually through secure Google Meet and include a comprehensive history review, physician assessment, and discussion of overlapping symptoms across systems.
5.
Written summary and recommendations
Following the consultation, patients receive a written summary outlining assessment, recommendations, possible next steps, and follow-up considerations if appropriate.
Topics commonly discussed may include perimenopause, fatigue, weight and metabolic changes, sleep disruption, mood changes, libido concerns, inflammation or histamine overlap, ADHD symptom overlap, stress physiology, burnout, GLP-1 related questions, and complex symptoms that have not fit neatly into a single diagnosis or specialty evaluation.
BRING WHAT YOU ALREADY HAVE
Prior records help, and most workups may not need to be repeated.
Patients are encouraged to upload whatever prior labs, imaging, records, testing, timelines, or clinical notes they already have available. Most workups do not need to be repeated immediately. The visit is more useful when the history that already exists can be reviewed in context.
If you have nothing to upload, that is fine as well. The intake is designed to meet you where you are.
Whatever you can put together is enough to start.
INVESTMENT
Ninety-minute virtual physician consultation,
including written summary and plan.
$950
This visit is offered outside of insurance. Labs, medications, imaging, and any follow-up visits are billed separately.
Appointments are scheduled only after a request has been reviewed and an invitation has been issued.
Sulagna Misra, MD
MD · BCMAS · MSCP
Dr. Sulagna Misra is a board-certified physician with training in Internal Medicine and Integrative Medicine, certified in Menopause Care by NAMS or North American Menopause Society (MSCP), and a Board-Certified Medical Affairs Specialist (BCMAS). She leads Misra DPC, where she evaluates and treats menopause and perimenopause symptoms, metabolic and weight-related concerns, thyroid and hormonal changes, chronic conditions, and complex overlapping symptom presentations.
Dr. Misra also teaches physicians nationally through VuMedi, develops CME-level education on women's health and primary care, and participates in discussions focused on access to care and direct primary care reform.
Her work centers on helping patients navigate medical complexity with clarity, continuity, and evidence-based care, with longer visits that allow patterns across systems to be recognized rather than missed.
*As featured in: Forbes, First For Women, CBS News, Health, AP News, Men's Health, The Epoch Times, Doctors on Social Media and additional national outlets.
FAQ:
No. This ninety-minute virtual physician consultation is offered outside of insurance and is self-pay.
This visit was designed for women experiencing complex, overlapping, or persistent symptoms that may not fit neatly into a single diagnosis or specialty. Common concerns include fatigue, brain fog, hormonal changes, sleep disruption, metabolic concerns, burnout, inflammation, histamine-related symptoms, ADHD overlap, mood shifts, libido concerns, and symptoms that continue despite prior evaluations.
No. Many patients requesting this consultation have never received a clear diagnosis despite prior testing, specialist visits, or years of symptoms.
Yes. Many patients requesting this visit have already seen multiple physicians. The purpose of the consultation is to review the entire picture together and assess whether patterns across systems may have been missed.
Patients are encouraged to upload any prior labs, imaging, timelines, specialist notes, medication lists, or testing they already have available. Existing records often help reduce unnecessary repeat workups.
That is completely okay. Prior records can be helpful but are not required to request a consultation. If additional labs, imaging, or testing are recommended, patients may choose to follow up through their primary care physician, specialists, standalone follow-up visits, or ongoing Misra DPC membership if appropriate.
All consultations are conducted virtually through secure Google Meet. Appointment details are provided after scheduling is confirmed.
Patients must be physically located in California or New York at the time of the virtual visit.
The consultation includes a ninety-minute physician visit, comprehensive history review, clinical assessment, and written summary with recommendations and possible next steps.
No. Labs, imaging, medications, supplements, and follow-up visits are billed separately if needed.
Patients receive a written summary with assessment, recommendations, and follow-up considerations if appropriate.
Yes. Follow-up visits are available as standalone a la carte appointments ($500/hour or $350/half hour). Ongoing continuity care through Misra DPC membership may also be discussed if appropriate and available.
Payment in full, intake forms, and signed agreements are required prior to the appointment. Because consultation time is reserved specifically for each patient, consultation fees are generally non-refundable once the visit has been confirmed and scheduled.
***Appointments canceled within forty-eight hours of the scheduled visit and missed appointments are non-refundable.
Appointments begin with a request submission through the Contact Us page. If the visit appears appropriate and scheduling availability allows, patients receive intake forms, office agreements, payment instructions, and appointment details electronically before the consultation is confirmed.